The right patient, in the right place, at the right time, with the right information.

1. The right patient, in the right place,
at the right time, with the right information

2. One of the key themes of The Care Quality Commission strategy
for 2016 to 2020 is ‘assessing how well hospitals use resources’.
PatientSchedulingApp is designed to deliver evidence of your
hospital’s performance against this key theme.
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3. WHAT IS PatientSchedulingApp?
It’s a lot more than an app, it’s the end system designed to maximize efficiencies
across the scheduling function of the hospital while delivering additional benefits for
the hospital management, staff and your budget.
The patient is given a big screen lightweight low cost Android tablet on arrival. The Software allocates an
anonymous ‘Waiting ID’ before the scheduling nurse allocates the appointments required. Next the patient
answers a selection of basic health related questions before the software kicks in and the tablet helps the
patient get to where they need to be on time with the minimum fuss to everyone.
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4. The NHS objectives for 2020 are set out
across the key themes in which quality,
finance, use of resources and operational
performance relate directly to benefits
delivered by PatientSchedulingApp.
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5. PatientSchedulingApp has been developed over 24 months hand in glove with an
appointed panel of world-class partners and suppliers that include TechAdVenture,
The Royal Marsden NHS Foundation Trust London, The Charite Hospital in Berlin,
Microsoft, Neofonie Mobile GmbH, Polestar and Scottish Entreprise.
Together with these organizations PatientSchedulingApp has evaluated the various work-flows and patient
pathways and worked towards refining standardizing the process of efficiently managing a patient through
your hospital.
We know that change costs time and money, so we have designed the system to be as ‘light touch’ as
possible. This means your IT department need only give us your wifi password, and the whole system can
be installed and set up in one day.
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6. PatientSchedulingApp is designed to
reduce the pressure on your staff by not only
getting more people through the system
faster, but also addressing bottlenecks and
even reliably collecting patient satisfaction
and quality data.
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7. HOW DOES IT WORK
1. Mapping & Wayfinding
PatientSchedulingApp Ltd has
appointed Polestar the market leader
in hospital wayfinding.
2. Tablet Devices
Patients will not be able to download the
app direct to their own device, and instead
will be given an very basic Android device.
3. PatientSchedulingApp software
A dynamic appointment scheduling and
management tool that includes way finding
(find my appointment/where’s my patient).
4. PaaS system
Configure Account(s) for Service usage.
The system will consist of the following components:
PatientSchedulingApp Ltd is a dynamic
appointment management system for hospitals
designed to reduce waiting times in pre-operative
assessment clinics for planned operations.
Initially designed for the complex and dynamic pre-assessment
work stream, the system is planned to be developed to work
across all departments and patient types from pre-assessment,
outpatients, inpatients, walk-ins, GP referrals and even A&E.
5. Content management system
Re-brand the app in your colors, font and
logo so that to your patients it feels like
your app completely.
6. Support
24hour replacement tablet lost/broken.
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8. Whilst the patient is waiting
PatientSchedulingApp can ask questions as
well as deliver information making the best use
of their waiting time. The benefits are greater
informed consent and more reliable ‘I Want
Great Care’ feedback.
https://www.IWantGreatCare.org/
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9. 1. The tablet can
provide your
hospital information
as well as wider
NHS information
and even health
education topics
and FAQ’s.
FEATURES
2. Patients can
(RELEASE2) pick
their language.
3. The use of cartoons to
explain consultations,
procedures and surgeries,
so that the patient
has time to consider
and understand the
information presented.
This results in greater
informed consent but also
less time spent repeating
the same thing over and
over for medical staff.
4. We can set it up so
patients can use
PatientScheduling
App to post direct
to IWGC.org
@
5. We can then also
ask individual
questions (how
was your blood
test) so the hospital
can evaluate any
pressure points in
real time.
?
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10. FEATURES
6. A HELP ME
NOW button for
patients in need
of immediate
assistance to notify
the scheduling
nurse and identify
their location.
7. Data on where
the bottlenecks
are for hospital
management.
8. Objective
Demographic Data,
allowing for the
better design of
services.
9. Areas which are
effective and
efficient can be
identified more
easily and used as
models to aid the
development of
other services.
!
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11. 1. More efficient utilization of current
resources (mainly staff) to avoid peaks
and troughs, the ability to plan the week
ahead in a more structured manner
using automation and software based
algorithms, allowing patients the freedom
to go for tea/coffee and know they will
be guided back to their appointment
when the time comes via a professional
product in line with the Trust’s own
corporate branding, representing the
high quality and cutting-edge work the
Trust is involved in.
2. Through the integration of
wayfinding / mapping the clinical
area, patients can find their
appointment / clinic faster and with
less stress, while medical staff can
locate a missing patient with ease (way
finding alone can slash 15% of wasted
time from the schedule).
3. By providing patient information videos
with time to process the information
before they see the clinician so they are
able to ask better-informed questions
regarding their procedure and provide
more informed consent. This is especially
relevant to anesthesia where informed
consent is often implied and done in a
very short space of time on the morning
of surgery – potentially a medicolegal
issue and one which would be greatly
addressed by this system. This allows
for waiting times of patients to be used
more efficiently by completing logic-
based questionnaires, ready for the pre-
assessment nurse/doctor to instantly
refer to, prior to seeing the patient.
4. The ability to instantly audit utilization
of various services (Echocardiography,
cardiopulmonary exercise testing) and
identify bottlenecks to inform future
service development strategies, increased
patient throughput, increased patient
satisfaction due to being better informed
about their surgery, their upcoming
pre-assessment appointments, reduced
waiting times and opportunity to
feedback on the service.
5. Improved capture of patient feedback
data such as Friends & Family or I Want
Great Care, could help departments
to respond to needs in a more timely
manner and provide clear evidence of
patient satisfaction with the service.
6. These are all objective measures which
would also help with independent
inspections e.g. Clinical Commissioning
groups or Care Quality Commission
visits (reducing time and resources
allocated to collating the necessary
evidence and data).
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12. FRAILTY ASSESSMENT
Clinicians need a standardized method to consistently and accurately identify those patients
who are most frail to better manage their care. Hundreds of studies have shown frailty, a
clinically recognizable state of increased vulnerability to adverse health outcomes such as
disability, fails, institutionalization, and death, to be useful in assessing patient risk.
PatientSchedulingApp takes the standard paper and pen process and moves it up (a few) gears. Potentially linking
with recognised asessment tools such as the Johns Hopkins Frailty Assessment Calculator or the Clinical Frailty Scale
(Dalhousie University). The software would then automatically deliver new pathway (and dynamically adjust all other
patients in the system to accommodate this change) whilst ensuring the right level of medical attention is delivered
and medical staff aware of pending issues before they arise (or the patient arrives).
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13. PatientSchedulingApp Ltd has been designed in partnership
with two world class, yet dramatically contrasting hospitals
(to ensure a one size fits all solution), with direct access to
the senior clinical, admin, IT and management teams from
The Charite in Berlin and The Royal Marsden in London.
In addition the Board of PatientSchedulingApp Ltd already
includes the ex CEO of Atos UK (who handle all NHS UK data
records and manage all NHS data centers across UK) and the
ex Head of Admissions for The Charite in Berlin, a hospital
that sees on average over 660,000 outpatient cases and
approximately 140,000 inpatient cases a year for which he
had direct oversight and control.
“Over time
[PatientSchedulingApp]
should develop a much
more efficient and pleasant
experience for both
patients and staff.”
Dr. Rohit Juneja
Consultant Anesthetist
(The Royal Marsden)
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14. INSTALLATION & SET UP
One of our sales team will do
a site visit and agree with you
the bespoke requirement of the
system (logo, colors, questions) as
well as map the area covered by
your pre-assessment clinic, test
wifi strength and collect patient
numbers and establish the area
to be covered, the number of
tablets needed and the number of
patients the system will manage
per month and per year. We will
also agree where the kit is to be
sent and what date you want the
installation to take place.
We want the process of installing and setting up the system to be as low impact and light
touch as the management of the system itself.
Evaluation Contracting On-site InstallMapping
Next you will send up a map
of the area(s) covered by the
pre-assessment clinics. Now it
would be lovely for us if this was
digital and marked up, but if it’s a
photocopy or scan and we need
to mark it ourselves, it’s not the
end of the world.
Once we have all that
information we will know
how many beacons you
need, how many tablets
you need and how many
patients you will see. From
that we can quickly fire out
a contract that sets out the
terms of agreement with
the total and complete
transparency.
One of our highly trained engineers
(it will be one of the guys from Berlin that
built the software) will visit your hospital with
everything we need to set you up. Before he
arrives (yes, it’s all men. For now!) DHL will
have delivered the beacons, tablets and tablet
charging units to you. The engineer will arrive
as early as you will allow us access. His job is
to stick the beacons to the wall (no drilling, no
inconvenience). He will then connect each tablet
to the wifi. Job done. Next he will show anyone
that needs to know (admin staff) how to use
it. NOTE: there are training videos on YouTube
for medical staff and advanced information for
scheduling staff and admin. But trust us, online
banking is more challenging than this bit of kit.
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15. THE PRODUCT
PatientSchedulingApp Ltd is a stand-alone, dynamic appointment
management system for hospitals designed to reduce waiting times on
admission day for planned operations that DOES NOT integrate with any
existing or third part software or hardware.
RELEASE1 is solely designed for the complex and dynamic pre-assessment work stream. Future
releases will be deployed in due course.
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16. BENEFITS
1. The patient will come into the
hospital and immediately see the
scheduling nurse. The nurse inserts
the appointments the patient has
to make for their visit on to the
tablet while running the scheduling
software. The software allocates
a random anonymous waiting ID.
The nurse will hand the patient this
tablet. There is no patient data on
the device or in the cloud.
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17. 2. The patient will answer some
simple questions regarding their
current health and this will help to
inform staff of any additional tests
or consultations which may be
required.
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18. 3. As soon as the scheduling nurse
has handed the patient their tablet,
they have a schedule number
and an appointment with the
first available doctor for pre-
assessment. This schedule number
is recorded by the scheduling nurse
and acts as link to the patient.
By this method, we ensure that
no sensitive data is saved on the
device or in the scheduling service.
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19. 4. In the background an algorithm
calculates the fastest path / journey
for all patients. Especially when
a patient has more than one
appointment he/she will be
scheduled to take the test with
the shortest waiting queue. The
algorithm takes care of occupancy
of the medical equipment and
doctors. Therefore the efficiency
of the hospital will be increased.
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20. 5. Shortly before their scheduled
appointment a push notification
appears on the tablet and reminds
the patient about the appointment…
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21. 5. …The user can use the indoor
navigation function to find his way
to the scheduled room and nurse
or doctor.
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22. 6. At any time, the scheduling nurse or
doctor can choose to admit a priority
patient. In this case the patient is
automatically ranked on top of the
waiting list. This allows for the patient
to have access to the tests as soon as
possible with a very short waiting time.
The nurse can easily schedule this
patient for their tests and all the other
appointments that could be affected
will automatically be rescheduled.
The other patients will be notified
immediately that their appointment
has been updated.
This simple notification gives the
patients a better overview of their
appointment schedule and reduces
frustration regarding prolonged and
uncertain waiting times.
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23. 7. The clinical staff can mark a patient
test as complete and assign new
tests to him. To make best use of
waiting time, some of the standard
information regarding clinics and
appointments will be presented
to the patient as a cartoon.
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24. 8. The patient evaluates the quality
of the services in real-time and
this data can be analysed to help
shape future services and allow
resources to be deployed in the
most efficient manner. Patient
satisfaction scores are also
collected which will allow any
areas for concern to be highlighted
by the system and acted upon
immediately.
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25. 9. When all tests are completed, the
patient hands their tablet back to the
scheduling nurse. The nurse puts
the tablet back into the charging
cradle, all patient data is wiped,
waiting for the next patient.
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26. PRICING
Big hospitals
–– 100,000sqm
–– 36,000 visits per month
Small hospitals
–– 10,000sqm
–– 3,689 visits per month
(based on the Royal Marsden)
Medium hospitals
–– 60,000sqm
–– 18,000 visits per month
PatientSchedulingApp has categorized three types of hospital for the pricing:
Right now PatientSchedulingApp is at the start of its adventure. So we are not here to smash the FTSE,
we are here to prove it works and makes life better for you and your patients. We have tried to keep
the pricing and billing as simple as possible and the costs as near to zero as we can. But we would
welcome all feedback to this (and any ideas you may have).
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27. There is zero cost to the hospital for any part of the system (all 5 components are delivered for free).
The hospital signs up to a five-year contract and is charged a micro payment per journey.
The following sets out a typical hospital, based on a 5 year contract…
Average monthly visits
18,189
Average monthly journeys
109,134
Average hospital charge
3.7pper journey
Average monthly charge
£4,038
Average annual journeys
1.303m
Average annual cost
£48,456per hospital
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28. FUTURE DEVELOPMENTS
1
2 3
As previously stated PatientScheduling-App Ltd
will quickly aim to add on inpatient, outpatient
and AE services to the system.
Beyond this the company will look to develop a
‘GP appointment management app’ that allows
patients to accept ‘queue jump’ appointment
slots for pre-assessment slots (based on user
preferences) that are made available through
the efficiencies delivered in hospital by the
system.
Initially the product will be developed
exclusively for pre-assessment units and
available only pre-loaded onto the Android
devices. However, the company will quickly
look to develop a desktop and iOS/Android
mobile app for clinical staff so they can use
their own device or access the software from
the PC on their desk.
Now, we don’t want to get carried away with ourselves and we want to assure you that our absolute focus is
on the pre-assessment scheduling for the next 12 months - BUT - we all agree there is so much to be done, it
would be wrong of us not to set out a vision for the future based on the success of this product.
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29. WHY ARE WE BETTER?
When we were developing this with the clinical teams at our world class hospital partners and
our NHS advisors all asked us who our competition was. To be honest, initially we had no idea.
But then we took time out to find out. It seems the next best alternative is and end-to-end
multi-million pound all singing all dancing high end bit of kit tailored to your every wish that
takes 6 months to install and causes 6 months of disruption.
The next question our investors asked us was, “What’s stopping one of (the guys above) copying you.” The answer is
you, our customer base, the NHS. We see this as a partnership. We are here to build and develop what you need and
to export it to the world on the back of success with the NHS. So what’s stopping you from choosing them over us?
We are on your side. We are new to this game and don’t have an axe to grind and we only want what’s best for you.
CQC : is our app caring? YES!
CQC : is our app responsive? YES!
Our app allows you, the hospital to act and respond quickly, safely and effectively. Above all else it delivers a better
patient experience, less stress for your most important resources and does it all with a smile on its face and without
robbing the budget.
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30. andrew.grant@patientschedulingapp.com
Andrew Grant
Director